Service to Underrepresented Groups

This award is given to an individual, coach, official or group who had made a highly significant contribution to increase engagement and participation in an identified underrepresented group in their local area.

To submit a word copy download: Service to Underrepresented Groups 2018

Please send the Nomination form to events@activelancashire.org.uk or you can fill out the form below.

Please note the form below cannot be saved, please complete in one or use the word form above.

*Nominations accepted for Chorley, Fylde, Hyndburn, Lancaster, Pendle, Ribble Valley, Rossendale, West Lancashire and Wyre.
Nominations to, Blackburn,Burnley, Blackpool South Ribble and Preston have now closed.*

Nominee Name:

Local Authority:

Address:

Postcode:

Telephone Number:

Email Address:

Club/Group/Activity Involved in:

Length of time involved:


Please provide some examples of how they have helped to increase participation in sport and/ or physical activity within an underrepresented group (eg. Women and Girls, BME, LGBT, Disability, older people etc):


Description of their key achievements including any individual achievements of those participating:


Has the nominee linked into any national campaigns or innitiatives to help widen and increase participation (eg. #ThisGirlCan #SportForAll):

Any Challenges overcome to get to this stage including any personal challenges or challenges associated with the role:

Examples of any partnership working with clubs, school, community groups etc:

Testimonies of those enabled or any other supporting information you would like the judges to take into account:

I have read and understood the rules of entry: YesNo

Nominated by:

Nominated by Email: